子宫动脉栓塞术联合利凡诺在完全性前置胎盘状态引产中的应用  

Application of Uterine Artery Embolization and Rivanol in Induced Abortion with Complete Placenta Previa in the Second and Third Trimester Pregnancy

作　　者：武继承[1] 王永红[1] 魏明珠[1] 刘淼[1] 

机构地区：[1]郴州市第一人民医院中心医院产科,湖南郴州423000

出　　处：《中国医药指南》2013年第32期10-12,共3页Guide of China Medicine

摘　　要：目的探讨子宫动脉栓塞术联合利凡诺在完全性前置胎盘状态引产中的应用价值。方法采用Seldinger技术对35例中晚期妊娠完全性前置胎盘状态需要终止妊娠者进行超选择性双侧子宫动脉栓塞术。同时应用利凡诺尔和米非司酮引产治疗。结果 29例孕妇于栓塞术后10-132h,平均（32.5±5.53）h娩出胎儿及附属物,术后及产后24h出血平均（198±13.5）mL。5例孕妇因产前出血多急诊行剖宫产终止妊娠。1例介入后立即剖宫取胎。无1例子宫切除。35例引产后平均（46±3.45）d恢复月经。结论在中晚期妊娠完全性前置胎盘状态引产前先行子宫动脉栓塞术是预防和减少出血的一个安全、可行的新途径。Objective To evaluate the efficacy of combination application of uterine artery embolization and rivanol in induced abortion with complete placenta previa in the second and third trimester pregnancy. Methods Using standard seldinger technique, 35 pregnant women in their second and third trimester pregnancy with complete placenta previa required termination of pregnancy underwent super-selection to the uterine artery with gelfoam microspheres embolization and simultaneous induction of labor with rivanol combined with mifepristone. Results Delivery of the fetus and its accessories achieved after 10-132h（32.5±5.53）h in 29 women, with postoperative and postpartum hemorrhage of（198±13.5）mL on average in 24h, and another 5 required emergency cesarean delivery due to antepartum haemorrhage. One case required emergency cesarean after uterine artery embolization. The total 35 refused hysterectomy, and regular menstruation occurred on average of（46±3.45）d after the procedure. Conclusion Pre-operative uterine arterial embolization can make safe induction of labor for pregnant women in their second and third trimester pregnancy with complete placenta previa and prevent or reduce potential intra-operative bleeding.

关 键 词：子宫动脉栓塞 完全性前置胎盘 引产 

分 类 号：R714.43[医药卫生—妇产科学]